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Centre for Policy on Ageing | |
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| The effect of Evercare on hospital use | | Author(s) | Robert L Kane, Gail Keckhafer, Shannon Flood |
| Journal title | Journal of the American Geriatrics Society, vol 51, no 10, October 2003 |
| Pages | pp 1427-1434 |
| Keywords | Residents [care homes] ; Nursing homes ; General practice ; Management [care] ; Usage [services] ; Hospital services ; United States of America. |
| Annotation | Evercare is a for-profit variation of a Medicare + Choice health maintenance organization (HMO). The programme's underlying premise is that by providing more intensive primary care - particularly using nurse practitioners (NPs) - the use of more expensive services such as hospital admissions is reduced. In this study, the patterns of service usage by Evercare enrollees in 5 sites were compared with those of two sets of controls: nursing home residents in the same nursing homes who did not enrol for Evercare; and residents of nursing homes who did not participate in Evercare. The incidence of hospital admissions was twice as high in control residents as in Evercare residents. Overall, the study suggests that the use of active primary care provided by NPs may have prevented the occurrence of some hospitalisable events, but its major effect was allowing cases to be managed more cost-effectively. (RH). |
| Accession Number | CPA-031212207 A |
| Classmark | KX: LHB: L5: QA: QLD: LD: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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